Individual
STACEY THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S SLP
Contact information
Practice address
16815 S DESERT FOOTHILLS PKWY, PHOENIX, AZ 85048-8401
(480) 704-5954
Mailing address
17212 N SCOTTSDALE RD APT 2083, SCOTTSDALE, AZ 85255-9629
(262) 422-9074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP10580
AZ
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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